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題 名 | 上顎前牙造釉細胞瘤之手術處理及重建--病例報告=Surgical Treatment and Reconstruction for Anterior Maxillary Ameloblastoma--A Case Report |
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作 者 | 柳依青; 郭生興; 李正喆; 陳信銘; 章浩宏; 鄭世榮; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷 期 | 25:3 2014.09[民103.09] |
頁 次 | 頁186-194 |
分類號 | 416.954 |
關鍵詞 | 造釉細胞瘤; 閉孔器; Ameloblastoma; Obturator; |
語 文 | 中文(Chinese) |
中文摘要 | 造釉細胞瘤為口腔顎面區常見之良性腫瘤,臨床常無明顯症狀,但其高度顎骨侵犯性,治療上以手術切除為主。術後之顎骨缺陷及缺牙、咬合功能受損等問題,需予以適當重建,牽涉上顎前牙美觀區之缺損,需良好的手術及重建計畫。本病例為六十一歲女性,十數年前左上顎因造釉細胞瘤接受過兩次于術,因腫瘤復發,於本院接受手術,術中並立即置入活動式閉孔器,重建病人之中顏部外觀、發音及咬合功能。術後恢復良好,目前持續於門診追蹤。上顎前牙美觀區造和細胞瘤手術切除後輔以閉孔器重建,相較於顯微手術的皮辮重建,除可同時兼顧美觀及咬合功能,並有效縮短手術時間及術後重建、復鍵的時間,故以此病例提出報告。 |
英文摘要 | Ameloblastoma, a benign tumor, has higher prevalence in oral and maxillofacial region. Usually, the lesion displays asymptomatically, but locally invasive, and thus surgical resection is the first choice to eradicate the tumor. However, surgical defects combined with functional impairment, as with chewing, cosmeticsand phonation, should be restored immediately, especially for lesions located in the anterior maxilla. Herein, we reported a 61 year-old female patient who underwent tumor resection due to recurrent ameloblastoma in the left anterior maxillary region. Nasal alar cinch technique and immediate obturator delivery were performed as planned She tolerated all procedures well and recovered rapidly. Additionally, the final esthetics and occlusal function get rebuilt peri-operatively. Compared to vascularized free flap reconstruction, rehabilitation with obturator in maxillary anterior region offers advantages of shorter operation time, lower surgical risk and immediate occlusal restoration. The alar cinch technique and obturator rehabilitation could be recommended and widely used for reconstruction of anterior maxillary defect. |
本系統中英文摘要資訊取自各篇刊載內容。